‘Tis the season… for wondering “Seriously, what the heck am I going eat this holiday??”
I’m guessing that most Mark’s Daily Apple readers can relate to the angst that comes with trying to be a “healthy person” during the holiday season. Are you going to indulge? How much? How will you feel physically and mentally if you do? How will other people behave if you don’t?
Particularly if you’re somewhat new to a Primal lifestyle, it can be hard to figure out what will be best for you—and keto comes with a whole additional set of considerations. Compared to a more general Primal way of eating, keto requires stricter adherence to carbohydrate limitation. Moreover, it is possible to measure your ketone levels and tell objectively whether you have crossed the line (not that you have to do so). If ketosis is your goal, there is no chalking up that chocolate pecan pie to the 80/20 principle  and being on your merry way.
Luckily though, it’s actually quite easy to stick to Primal and keto during the holidays if your brain doesn’t get in the way. In my experience, the struggle is largely mental—saying no to foods that don’t serve your goals and resisting social pressure—not a lack of delicious, healthy options. Of course, it’s up to you whether, and to what degree you are going to stay Primal/keto.
To Indulge or Not: A Few Considerations
It’s important to remember that there’s a huge range of options between 100% compliant and “I ate 2 whole pies by myself.” Just because you dip your toe in the water doesn’t mean you have to dive all the way in.
Many of us can probably indulge a little and be totally fine. To me, this is the spirit of metabolic flexibility . It means that your body can use different fuel substrates for energy. And…if and when you eat foods that are out of the norm, it’s not a big deal. In other words, your body can handle what you throw at it—within reason. That doesn’t mean you can necessarily stay in ketosis, but unless you have a medical need, there’s no rule that says you have to stay in ketosis all the time  even if you consider yourself a “keto person.”
There’s a difference between “can” and “should.” Even if you can indulge without obvious negative consequences, whether you should really comes down to your health and your personal goals. You have to figure it out for yourself, and you might not know exactly where your line is until you’ve crossed it. It’s up to you whether you want to test it and find out.
While I’m a big fan of self-experimentation, there are people who are probably better off being mostly—or totally—compliant through the holidays:
- if you’re still dealing with Type 2 diabetes,
- if your gut health is suboptimal,
- if you have recently switched to Primal or started a Keto Reset, 
- if you’re in the middle of an AIP or FODMAP elimination diet.
In these scenarios, indulging even a little will set you back more than it would if you were further along in the process (I can’t quantify how much). Also, if getting away from sugar and carb-dependency was a tough road for you, you might not want to risk it.
Primal and Keto Options Abound
Although a lot of the focus is on treats, the truth is that much of the traditional fare is Primal- and keto-friendly. I bet you can find something you feel good about eating at almost any meal or party even if your family is as standard as the Standard American Diet gets. Of course, you can always bring your own food to a gathering (bring enough to share—it’s the holidays after all), or you could host and serve whatever you darn well please. Be sure to check out our Primal/keto Thanksgiving recipe roundup post  for ideas.
This holiday, skip the dinner rolls and opt for:
- Meat (Lots of meat—sugary-glazed ham being your last choice)
- Salad (Ideally, use your own dressing and skip the croutons.)
- Cooked Vegetables (e.g. broccoli, Brussels sprouts, cabbage, carrots, squash, etc.)
- Sweet Potatoes (not the marshmallow casserole obviously) for Primal, limit on keto
- Raw Veggies with Dip or Pâté
- Deviled Eggs
- Shrimp Cocktail
- Salami or Other Charcuterie and Cheese
- Baked Brie (bonus points if it’s wrapped in prosciutto, avoid sugary toppings)
- Mixed Nuts
Then there are the traditional holiday foods that aren’t Primal/keto-friendly in their most common forms but which can be adapted fairly easily:
- Mashed Potatoes – Potatoes are a borderline food  for Primal eaters and a mostly-no for keto folks (who wants a tiny serving?), but cauliflower, turnips, rutabaga, or parsnips all make decent substitutes. Throw some butter, sour cream, chives, horseradish, cheese, or bacon (or all of the above!) on there, and you can hardly tell the difference. (The secret with cauliflower is to squeeze out the excess liquid after cooking but before mashing.)
- Gravy (Thicken with arrowroot powder or gelatin instead of cornstarch or flour.)
- Green Bean Casserole (Avoid the canned soup and fried onions—you can make both with healthy ingredients if you want; check out the recipe in The Keto Reset Diet  book).
- Cranberry Sauce (Check out this recipe  and use your sweetener of choice; I like mine tangy.)
- Stuffing (see the recipe here )
A word of advice: Try your recipes ahead of time! Thankgiving afternoon is not the time to discover that the keto gravy recipe you found online really makes gravy jello instead.
But what about dessert??
The best option is to help yourself to another serving of turkey and homemade cranberry sauce, but what if you really want dessert? There are TONS of blogs devoted to paleo/Primal/keto desserts made with honey, maple syrup, stevia, erythritol, monk fruit, and so on. Let’s not kid ourselves, however: these are still treats.
If you’re comfortable with paleo-fied pumpkin pie with a grain-free crust  and real whipped cream, or cheesecake made with a keto-friendly sweetener , go for it. Dark chocolate and berries with whipped cream are always an option, or baked fruit with fresh flaked coconut. Or eat the “real” dessert if that’s what you choose, but do it mindfully and in an amount that you won’t regret when you’re finished.
DBS—Don’t Be Surprised
I know I harp on this point, but I really think it’s important to have a game plan when you know you’ll be facing temptation or have conflicting desires (e.g., stay Primal/keto but also eat the crescent rolls). Decide what you want, establish boundaries for yourself (even if they’re somewhat flexible), and prepare for foreseeable obstacles. Consider the following:
- What is your intention in terms of staying compliant (or not)?
- How are you willing to compromise if you find yourself in a situation where there aren’t any great options? (Salads with questionable dressing? Vegetables cooked in cream sauce if you usually avoid dairy? Not at all?)
- What will you say to pushy/nosy/disrespectful relatives and coworkers? (You don’t owe anyone an explanation, but “That makes me feel poorly, and I want to enjoy the evening with you,” usually works pretty well.)
- Are you going to imbibe ?
- What can you do to manage stress  during the holidays instead of turning to food?
If you are feeling conflicted, allow yourself to sit with those feelings. They’re totally normal, especially if you’re fairly new to this. Once you’ve been at it for a while, you’ll have a better sense of the personal lines you don’t want to cross. If you make a choice that you wish you hadn’t, the great thing is you’ll get a do-over at the next meal.
Lastly, don’t allow food to carry too much importance during this season. Instead, crank up the music, put on your coziest footie pajamas, and enjoy all the non-food related things there are to love about this time of year!
What’s your plan this holiday? Will you be eating keto at Thanksgiving or taking a looser approach? What are your favorite low-carb holiday recipes? Thanks for reading, everyone.